Information Collection

Reporting Requirements for Disability-Related Complaints

IC 25125 under ICR 200705-2105-001 · OMB 2105-0551.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2105-0551 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Appendix A to Part Reporting Requirements for Disability-Related Complaints	Form
Appendix A to Part Disability Complaint Reporting Form Final Rule for Collection 2105-0551.pdf	Form

IC Title:

Reporting Requirements for Disability-Related Complaints

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 5 CFR 1320.8(d) 14 CFR 382

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Appendix A to Part 382	Disability Complaint Reporting Form	Final Rule for Collection 2105-0551.pdf		Yes	Yes	Paper Only

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	160	-210	370
Annual IC Time Burden (Hours)	3,238	-5,515	8,753
Annual IC Cost Burden (Dollars)	0	-254,000	254,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.